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Dr. Shenan Marie Bradshaw, DDS,MD
Oral and Maxillofacial Surgery (Dentist) in Chesterfield, Missouri
NPI 1699040121

Shenan Marie Bradshaw is a Oral and Maxillofacial Surgery (Dentist) based in Chesterfield, MO and is specialized in Oral and Maxillofacial Surgery. Shenan Marie Bradshaw practices in Chesterfield, MO and has the professional credentials of DDS,MD. The NPI Number for Shenan Marie Bradshaw is 1699040121 and holds a License No. 2020029150 (Missouri).

The current practice location address for Shenan Marie Bradshaw is 17300 N Outer 40 Rd Ste 103, Chesterfield, MO and can be reached out via phone at 636-536-5158.

Location: 17300 N Outer 40 Rd Ste 103, Chesterfield, MO, 63005-1364
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Provider Profile Details
NPI Number
1699040121
Provider Name
Shenan Marie Bradshaw
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Female
Address
17300 N Outer 40 Rd Ste 103, Chesterfield, MO, 63005-1364
Phone Number
636-536-5158
Fax Number
Provider Enumeration Date
03/16/2012
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
2021010068 01 MO MEDICAL LICENSE
2020029150 01 MO DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
17300 N Outer 40 Rd Ste 103
City
State
Zip
63005-1364
Phone Number
636-536-5158
Fax Number
person
Provider Business Mailing Address Details
Address
17300 N Outer 40 Rd Ste 103
City
State
Zip
63005-1364
Phone Number
636-536-5158
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
2020029150 (Missouri)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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